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Unusual complication of central venous catheter in hemodialysis

Biagio R Di Iorio1, Fiorentino Mondillo, Sara Bortone

  • 1UO di Nefrologia e Dialisi, PO 'A Landolfi', Solofra, Italia. b.diiorio@tiscali.it

Blood Purification
|September 13, 2005
PubMed

Insights

A partial rupture of a cuffed central venous catheter (CVC) occurred in a hemodialysis patient. This event is notable as the catheter was from the same manufacturer as a previous one with a 12-year lifespan.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Medical Device Engineering

Background:

  • Central venous catheters (CVCs) are essential for chronic hemodialysis.
  • Femoral vein access is common for CVC implantation.
  • Catheter longevity and material integrity are critical for patient safety.

Observation:

  • A case report details a partial rupture of a cuffed CVC in the femoral vein.
  • The patient was a 74-year-old female undergoing chronic hemodialysis.
  • The malfunctioning CVC was from the same manufacturer as a previous catheter that functioned for 12 years.

Findings:

  • Partial rupture of a cuffed central venous catheter.
  • Implantation in the femoral vein for chronic hemodialysis.
  • Potential link to catheter manufacturer or material degradation.

Implications:

  • Highlights the importance of monitoring CVC integrity, even with a history of longevity.
  • Suggests potential issues with specific CVC models or manufacturing batches.
  • Underscores the need for vigilance in device surveillance in long-term dialysis patients.

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